Individual provider Active NPI

Ashwin Vinod George, M.D

  • Internal Medicine Physician
  • Burnsville, MN
National Provider Identifier
1518169713
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49521 Issued in MN
Practice address
2428 E 117TH St
Burnsville, MN 55337
Phone
(612) 444-3000
Fax
(612) 444-9000
NPI assigned
Jun 1, 2007
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49521 MN Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 49521 MN
Pain Medicine Physician 208VP0000X 49521 MN

Addresses

Primary practice location

2428 E 117TH St
Burnsville, MN 55337

Mailing address

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

Other practice location 1

640 Jackson St
Mail Code 11107E
Saint Paul, MN 55101-2502
Phone (651) 254-9545

Other practice location 2

640 Jackson St
Mail Code 11107E
Saint Paul, MN 55101-2502
Phone (651) 254-9545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000672 MN Practitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - Pain ManagementPractitioner - Other (Physician) 5698862415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Internal Medicine, Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Current Accepting new patients
Valley Medical Laboratory, LLC Current Accepting new patients
Valley Pain Relief and Wellness Center, PLLC CurrentSince Apr 1, 2014 Accepting new patients
Valley Pain Relief and Wellness Center, PLLC Addiction Medicine CurrentSince Apr 1, 2014 Accepting new patients

Locations

2428 E 117th St
Burnsville, MN 55337

2438 E 117th St
Burnsville, MN 55337

2440 E 117th St
Burnsville, MN 55337
Phone (651) 331-8478

2847 Johnson St NE
Minneapolis, MN 55418
Phone (612) 789-7277

3224 6th Ave NE
Unit B
Rochester, MN 55906

1789 Woodlane Dr
Ste A
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: george.ashwin.005.0230015@vprwc.meditab.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1518169713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Jackson St",
            "address_2": "Mail Code 11107E",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-9545",
            "fax_number": "651-254-1553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Jackson St",
            "address_2": "Mail Code 11107E",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-9545",
            "fax_number": "651-254-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ASHWIN",
        "middle_name": "VINOD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "49521",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MN",
            "license": "49521",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "49521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.